NPIMap

Organization Active NPI

BVM-PHS Senior Housing Inc

  • Skilled Nursing Facility
  • Dubuque, IA
National Provider Identifier
1114547395
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BVM-PHS SENIOR HOUSING INC
Practice address
1160 Carmel Dr
Dubuque, IA 52003-7984
Phone
(651) 631-6432
Fax
(651) 631-6122
NPI assigned
Apr 17, 2020
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Meyer
Title
Cfo
Phone
(651) 631-6102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1160 Carmel Dr
Dubuque, IA 52003-7984

Mailing address

2845 Hamline Ave N
Roseville, MN 55113-7127
Phone (651) 631-6432

Other names 1

  • Mount Carmel Bluffs Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200728002489 IA Part A Provider - Skilled Nursing Facility 1052737053 Practice locations: Dubuque, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114547395. Details of each certification follow.

Skilled nursing facility certification: CCN 165792

Legal name
BVM-PHS SENIOR HOUSING INC
Doing business as
MOUNT CARMEL BLUFFS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 31, 2021
Last certification
Feb 20, 2025
Beds
60
Ownership / control type
Limited Liability Corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 7, 2018 in IA
Enrollment address
1160 Carmel Dr
Dubuque, IA 52003-7911
Nursing home name
MOUNT CARMEL BLUFFS
Affiliated entity
PRESBYTERIAN HOMES & SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mount Carmel BluffsCCN 165792 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 31, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6054.1 residents per day on average
Chain
Presbyterian Homes & Services21 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2185141BVM - PHS Senior Housing, Inc1160 Carmel Drive, Dubuque, IA 52003Certificate of waiverMay 28, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Midwestone Bank Organization, Dubuque, IA Created for acquisition, Financial institution, For-profit 5% Or Greater Mortgage Interest Jul 1, 2019 67%
5% Or Greater Security Interest Jul 1, 2019 67%
Andrea L Ries Individual Operational/Managerial Control Jul 1, 2022
Adp of the SNF Jul 1, 2022
Mark T Meyer Individual Corporate OfficerCfo Sep 7, 2018 25%
Corporate DirectorBoard Member Sep 7, 2018 25%
Operational/Managerial Control Sep 7, 2018
Adp of the SNF Sep 7, 2018
Sarah Rentz Individual Operational/Managerial Control Oct 15, 2020
Adp of the SNF Oct 15, 2020
Daniel a Lindh Individual Corporate DirectorBoard Member Sep 7, 2018 25%
Jonathan David Fletcher Individual Corporate OfficerCeo Feb 1, 2025
Operational/Managerial Control Feb 1, 2025
Adp of the SNF Feb 1, 2025
PHS Management, LLC Organization, Roseville, MN LLC, Non-profit, Chain home office Operational/Managerial Control Oct 15, 2020 100%
Adp of the SNF Nov 18, 2025
Heidi a Peterson Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Alan Stache Individual Corporate OfficerSecretary and Treasurer Sep 7, 2018 25%
Corporate DirectorBoard Member Sep 7, 2018 25%
Ladonna M Manternach Individual 5% Or Greater Indirect Ownership InterestBoard Member Aug 1, 2022 25%
Sisters of Charity of the Blessed Virgin Mary Organization, Dubuque, IA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 31, 2021 50%
Presbyterian Homes and Services Organization, Roseville, MN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 31, 2021 50%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 22

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 22

Practitioners & affiliated clinicians

Affiliated clinicians 10

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1114547395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 HAMLINE AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137127",
            "telephone_number": "651-631-6432",
            "fax_number": "651-631-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 CARMEL DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037984",
            "telephone_number": "651-631-6432",
            "fax_number": "651-631-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BVM-PHS SENIOR HOUSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-631-6102"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Carmel Bluffs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.